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N.B. using stale data to calculate COVID payouts, and it s costing some communities thousands
The provincial government s use of stale population numbers to hand out millions in COVID-19 relief funds has overpaid thousands of dollars to some communities, undercut amounts sent to other communities, and ignored one swath of the population completely.
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Abstract
BACKGROUND: Access to primary care outside of regular working hours is limited in many countries. This study investigates the relation between the after-hours premium, an incentive for primary care physicians to provide services after hours, and less-urgent visits to the emergency department in Ontario, Canada.
METHODS: We analyzed a retrospective cohort of a random sample of Ontario residents from April 2002 to March 2006, and a subcohort of patients followed from April 2005 to March 2016. We linked patient and primary care physician data with emergency department visit data. We used fixed-effects regression models to analyze the association between the introduction of the after-hours premium, as well as subsequent increases in the value of the premium, and the number of monthly emergency department visits.
KEY POINTS
Anti-Black racism is a specific form of racism, rooted in the history and experience of enslavement, that is targeted against Black people.
Disparities between Black people and other groups with respect to medical conditions and risk factors are not explained by biological differences between “races.”
The field of medicine can no longer deny or overlook the existence of systemic anti-Black racism in Canada and how it affects the health of Black people and communities.
We can address, confront and interrupt anti-Black racism in medicine by taking direction from leading experts both within and outside our profession. An easy step is to pay attention to the conversations Black people are having in our communities, including patients and health care professionals.